Individual
CHRISTI STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
165 BLACKBURN ST, BECKLEY, WV 25801-9632
(304) 365-3292
Mailing address
165 BLACKBURN ST, BECKLEY, WV 25801-9632
(304) 365-3292
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
C2403
WV
224Z00000X
Occupational Therapy Assistant
Primary
C2403
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00905273680
—
WV
Enumeration date
12/22/2021
Last updated
12/22/2021
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